中药封包对胫骨骨折患者术后肢体肿胀、疼痛的影响

The effect of traditional Chinese medicine packaging on postoperative limb swelling and pain in patients with tibial fractures

目的:探析中药封包对胫骨骨折患者术后肢体肿胀、疼痛的影响。方法:将在医院行手术治疗的90例胫骨骨折患者随机分为对照组和观察组,各45例患者。对照组患者行常规对症干预,观察组患者加用中药封包治疗,持续干预3个月;比较两组肿胀程度、疼痛程度[视觉模拟评分法(VAS)]以及膝关节功能[骨关节炎指数评分(WOMAC)量表和膝关节HSS评分量表(HSS)]。结果:观察组患者肿胀程度轻于对照组(P<0.05);干预3个月后,两组患者疼痛评分均降低,且观察组低于对照组(P<0.05);干预3个月后,两组患者WOMAC评分均降低,HSS评分均提高,且观察组患者WOMAC评分低于对照组,HSS评分高于对照组(P<0.05)。结论:中药封包可有效改善胫骨骨折患者术后肢体肿胀,缓解患者疼痛情况,改善膝关节功能。

Objective:To explore the effect of traditional Chinese medicine packaging on postoperative limb swelling and pain in patients with tibial fractures.Method:Prospective analysis was conducted on 90 patients with tibial fractures who underwent surgical treatment in hospitals.They were randomly divided into a control group and an observation group,with 45 cases in each group;The control group received routine symptomatic intervention,while the observation group received additional treatment with traditional Chinese medicine packaging,with continuous intervention for 3 months;Compare the degree of swelling and pain between two groups[Visual Analog Scale(VAS)],as well as knee joint function[Osteoarthritis Index Scale(WOMAC)and Knee HSS Scale(HSS)].Result:The degree of swelling in the observation group was better than that in the control group(P<0.05);After 3 months of intervention,the pain scores of both groups decreased,and the observation group was lower than the control group(P<0.05);After 3 months of intervention,both groups had a decrease in WOMAC scores and an increase in HSS scores.The observation group had a lower WOMAC score than the control group,while the HSS score was higher than the control group(P<0.05).Conclusion:Traditional Chinese medicine packaging can effectively improve postoperative limb swelling,alleviate pain,and improve knee joint function in patients with tibial fractures.